and what that fes like copd includes chronic bronchitis and emphysema. spiriva helps control my copd symptoms... ...by keepinmy airways open... ...a full 24 hours. plus, it reduces copd flare-ups. spiriva is the only once-daily inhaled copd maintence treatment that does both. and it's eroid-free. spiriva doesot replace fast-acting inlers for sudden symptoms. tell your doctor if you have kidney problems, glaucoma, trouble urinating, or an enlarged prostate. these may worsen with spiriva. discuss all medicines you take, even eye drops. stop taking spiriva and call your doctor right away if your breathing suddenly worsens,... ...your throat or tongue swells, you get hives, vision changes or eye pain,... ...or problems passing urine. other side effects include dry mouth and constipation. nothing can reverse copd. spiriva helps meeathing with copd is no small thing. ask your doctor about spiriva. but when she got asthma, all i could do was worry ! specialists, lots of doctors, lots of advice... and my hands were full. i couldn't sort through it all. with unitedhealthcare, it's different.